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NPI 1134119670

NPI 1134119670 : CARL M TORODE P.T. : AMHERST, VA

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General NPI Number Information
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    NPI Number           |    1134119670
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    Entity Type          |    Individual 
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    Provider Name        |    CARL M TORODE P.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/26/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    210 S MAIN ST 
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    City                 |    AMHERST
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    State                |    VA
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    Zip                  |    24521-2616
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    Country              |    US
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    Telephone            |    434-946-1314
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    Fax                  |    434-946-1083
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Provider Business Mailing Address
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    Address Line         |    PO BOX 720 
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    City                 |    AMHERST
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    State                |    VA
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    Zip                  |    24521-0720
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    Country              |    US
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    Telephone            |    434-946-1314
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    Fax                  |    434-946-1083
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2305001479
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    License Number State |    VA
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